NGN PROCTORED EXAM 70
QUESTIONS AND ANSWERS
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,1. A nurse is planning to administer medication to a client who has a Clostridi-um difficile infection. Which of
the following actions should the nurse plan to take to prevent the transmission of this infection to others?
Clean hands with an alcohol-based hand rub immediately after removing gloves. Remove the cover gown in
the client's room after providing care. Place the client in a room with negative-pressure airflow Wear a mask
when administering oral medications to the client. ✓✓ Correct answer Remove the cover gown in the client's room after providing care.
2. A nurse is caring for a client who has a prescription for a high-protein diet to promote wound healing
following surgery. The client's religion prohibits eating meat on particular days. Which of the following
actions should the nurse take? a. encourage the client to eat meat during this time to promote healing b. advise
the client to eat everything on the tray except the meat c. suggest the client receive high-protein enteral feedings
d. ask the dietitian to recommend alternative food choices for the client ✓✓ Correct answer ask the dietitian to recommend
alternative food choices for the client
3. A nurse is caring for a client who has prescription for a high-protein diet to promote wound healing
following surgery. The client's religion prohibits eating meat on particular days. Which of the following
actions should the nurse take?
Encourage the client to eat meat during this time to promote healing Advise the client to eat everything
on the tray except the meat Suggest the client receive high-protein enteral feedings
Ask the dietitian to recommend alternative food choices for the clie ✓✓ Correct answer Ask the dietitian to recommend
alternative food choices for the client
4. A nurse is collecting data from a client who is 2 days postoperative follow-ing a colostomy. Which of the
following findings should the nurse report to the provider?
a purple-colored stoma protrusion of the stoma a small amount of bleeding from the stoma intestinal gas in the
pouch ✓✓ Correct answer a purple-colored stoma
, 5. A nurse is reinforcing teaching with a client about self-administration of oph-thalmic drops. Which of the
following instructions should the nurse include?
"You will need to look to the side when you put the drops in your eye."
"You should put the drops directly in the center of your eyeball." "You should cleanse your eye from the inner
to the outer edge prior to putting in the drops." "You should avoid pressing on your tear duct after putting the
drops in your eye." ✓✓ Correct answer "You should cleanse your eye from the inner to the outer edge prior to putting in the drops."
6. A nurse is reinforcing teaching about carbohydrate counting with a client who has a new diagnosis of
diabetes mellitus. Which of the following actions should the nurse take first? a. use pictures of different food
groups to help the client plan a daily menu b. ask the client what he already knows about meal planning c. give
the client a brochure with sample menus for all meals d. involve the family in the discussion of the client's meal plan
✓✓ Correct answer ask the client what he already knows about meal planning
7. A nurse is assisting with the admission of an adult client to a medical-surgical unit. Which of the following
findings should the nurse identify as an indication that the client is malnourished?
heart rate 89/min pink mucous membranes pale, scaly skin body mass index 23 ✓✓ Correct answer pale, scaly skin
8. A nurse is reinforcing teaching about advance directives with a client who has end- stage renal disease. Which
of the following client statements in-dicates an understanding of the teaching? a. "I know that i can change my
advance directives if I need to in the future." b. "My health care proxy will make my health care decisions as soon
as I have signed the power of attorney." c. "My family can overrule the decisions made by my health care proxy."
d. "Advance directives from one state are valid in any other state." ✓✓ Correct answer "I know that i can change my advance
directives if I need to in the future."
9. A nurse is preparing a client for a Romberg test. Which of the following statements should the nurse
make?